Sponsors (2)
The bill expands access to comprehensive, locally-supported coverage and care coordination for low-income and uninsured people while relying on cost-sharing, narrow eligibility, and limited pilot funding that may restrict affordability, continuity, and geographic reach.
Low-income and uninsured individuals gain access to comprehensive health coverage (physician, hospital, behavioral health, prescription drugs, emergency services, and population-health supports).
Workers at small employers can obtain affordable employer-linked coverage that reduces reliance on Medicaid and eases transitions off public programs.
Program participants receive individualized assessments and health coaching to address psychosocial barriers, which can improve employment prospects and economic self-sufficiency.
Enrollees, employers, hospitals, and governments must make direct financial contributions, which could create affordability pressures for low-income households and small employers.
Individuals who fail to meet program engagement thresholds may have enrollment limited or rescinded, reducing coverage continuity for people with participation barriers.
Eligibility limits (income between Medicaid limit and 400% FPL and no QHP in prior 180 days) exclude certain needy people and create coverage gaps for those just below or above thresholds.
Based on analysis of 2 sections of legislative text.
Authorizes HHS to award 3–5 grants to create local Community Multi‑Share Coverage programs that combine hospital, community, and small‑employer partnerships to expand coverage, limit deductibles, and cap copays.
Creates a new HHS grant program requiring the Secretary to award 3–5 grants within 180 days to establish local Community Multi-Share Coverage programs that partner hospitals, community organizations, and small employers to reduce uninsurance, help people transition off government‑sponsored coverage, support workforce development, and enable small employers to offer affordable, high‑quality coverage. The program sets coverage and delivery standards (including specified health services, limits on deductibles, caps on in‑network copayments, and a required local physical presence) and ties benefits to both network providers and community resources.
Official title: To require the Secretary of Health and Human Services to award grants to support community-based coverage entities to carry out a comprehensive coverage program that provides qualifying individuals and small businesses health coverage and integrated health-related social need services to small business workers that promote improved health, long-term economic self-sufficiency, employment and retention, and for other purposes.
Introduced April 29, 2026 by John Moolenaar · Last progress April 29, 2026